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39Y-10277-10867

4 vaccinations 4 coded responses 17 check-ins 3 free-text entries 2 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
342 / FL
Registered
2021-02-25
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Possible VAERS report

VAERS IDConfidenceScoreRunner-upShared symptomsDose StateVAERS vaccinated / onset / receivedCall case
2599594 (opens in a new window) high 10 / 11 1 1 of 4 VAERS symptoms same dose (4) FL matches 2022-03-18 / 2022-12-15 / 2023-03-20
received the same day as the last call
 case 368214

From the VAERS matching of call center cases (loader/vaers_match_*). Only the best match is shown, and only if it scores 8 or more out of 11. The score adds up timing (VAERS received soon after the call center contact), dose and shared symptoms; state only breaks ties. Confidence is high when the score is 8+ and at least 3 points ahead of the runner-up, medium when 5+ and 2 ahead, otherwise low. A match is a likely link, not a confirmed one.

Timeline

  1. 2021-01-28
    Dose 1 — Moderna
  2. 2021-02-25
    Registered in v-safe
  3. 2021-02-25
    Dose 2 — Moderna
  4. 2021-02-25
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  5. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  6. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-03-06
    Health check-in — day 7, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  9. 2021-03-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-03-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-03-26
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-04-01
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-04-09
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-05-27
    Survey response — 3 months, dose 2
    MedDRA: Herpes simplex, Pre-existing disease — Feeling: Fair
    Free text: Since my vaccination, episodes of Herpes have been occurring every 5-6 weeks. Before the vaccination, the episodes occurred about twice a year.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-08-29
    Survey response — 6 months, dose 2
    MedDRA: Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activities
    Free text: Caught a cold on a plane crossing the Atlantic.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  16. 2021-09-15
    Dose 3 — Moderna
  17. 2022-02-27
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2022-03-18
    Dose 4 — Pfizer-BioNTech
  19. 2022-04-30
    Survey response — day 42, dose 4
    MedDRA: Bradycardia, Extrasystoles, Heart rate decreased, Office visit, Sinus node dysfunction, Supraventricular tachycardia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Multiple brief episodes of SVT Four months after 3rd dose. Extra SV beats have occurred for years, but the more frequent episodes prompted a cardiology evaluation for this and bradycardia(pulse as low as 49). This slow pulse due to sick sinus.
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-04-30
    Report sent to call center — day 42, dose 4
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  21. 2022-05-04
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  22. 2022-06-17
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  23. 2022-09-23
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  24. 2023-03-19
    Survey response — 12 months, dose 4
    MedDRA: Arrhythmia, Atrial fibrillation, Cardiac pacemaker insertion — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  25. 2023-03-19
    Report sent to call center — 12 months, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  26. 2023-03-20
  27. 2023-03-20
  28. 2023-03-20
    Call successful
    Completed over the phone

Vaccinations

DoseDateManufacturerCo-administered
12021-01-28Moderna
22021-02-25Moderna
32021-09-15Moderna No
42022-03-18Pfizer-BioNTech No

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 8 — 3 months, dose 2

2021-05-27

Symptoms: Since my vaccination, episodes of Herpes have been occurring every 5-6 weeks. Before the vaccination, the episodes occurred about twice a year.

Release 9 — 6 months, dose 2

2021-08-29

Symptoms: Caught a cold on a plane crossing the Atlantic.

Release 11 — day 42, dose 4

2022-04-30

Symptoms: Multiple brief episodes of SVT Four months after 3rd dose. Extra SV beats have occurred for years, but the more frequent episodes prompted a cardiology evaluation for this and bradycardia(pulse as low as 49). This slow pulse due to sick sinus.

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

FieldPreferred term2021-092023-042024-11
SDArrhythmia · · ✓
SDAtrial fibrillation · · ✓
SDBradycardia · · ✓
SDCardiac pacemaker insertion · · ✓
SDExtrasystoles · · ✓
SDHeart rate decreased · · ✓
SDHerpes simplex ✓ ✓ ✓
SDNasopharyngitis ✓ · ✓
SDOffice visit · · ✓
SDPre-existing disease ✓ ✓ ✓
SDSinus node dysfunction · · ✓
SDSupraventricular tachycardia · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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